Organization · Type 2 NPI

Northwest Ketamine Clinics Tacoma, PLLC

Nurse Practitioner · Tacoma, WA

NPI number 1215528732 Active

Practice location

1901 S Union Ave, Building B, Suite 4001
Tacoma, WA 98405

Fax (425) 256-3250

Mailing address

35302 SE Center St
Snoqualmie, WA 98065-9216

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1215528732

Northwest Ketamine Clinics Tacoma, PLLC's National Provider Identifier is 1215528732, issued on Jan 27, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tacoma, WA. The record was last updated on Jan 27, 2021.